| NPI | 1205863370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 33079-020) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-097283) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2023-11-15 |